SARS-CoV-2 preferentially infects astrocytes, which support neuron function, potentially leading to symptoms like fatigue and confusion.
SARS-CoV-2 can also infect pericytes, leading to restricted blood flow and small-vessel strokes.
“Recorded this video on the microscope yesterday. A single #SARSCoV2 infected cell arrives on the brain inside a blood vessel. Don't underestimate how much neuroinflammation one infected cell can cause. Brain-vascular-immune interface is the future of neuroscience #NeuroCovid”
A new paper in Cell, “Pioneering discovery and therapeutics at the brain-vascular-immune interface,” describes COVID-19 as a neurological disease alongside multiple sclerosis, Alzheimer’s, stroke and traumatic brain injury.
“COVID-19 can accelerate progression of dementia and induce BBB disruption and inflammatory blood clots causally linked with neuroinflammation and neuronal loss.8 In neurodevelopmental disorders, prematurity and perinatal hypoxia that trigger brain hemorrhage and BBB disruption are risk factors for cerebral palsy, intellectual disability, and autism. Collectively, these risk factors highlight the interconnected vascular and immune triggers of neurological diseases.”
Just published @Nature How fibrin drives brain inflammation in acute and #LongCovid and that a monoclonal antibody to fibrin protects against microglial activation
New paper comparing #LongCovid patients to matched controls found significantly reduced blood flow all over the brain - frontal, temporal, & parietal lobes.
Middle column in the picture below are healthy controls; red/warm colors = more blood flow. 1/
"scientists found evidence that antibodies—proteins produced by the immune system in response to viruses and other invaders--are involved in an attack on the cells lining the brain’s blood vessels..." Cross-referenced in thread on Covid & immune system
"COVID Brain Problems May Stem From Attack on Endothelial Cells — Findings could have implications for treating long COVID"
Covid brain damage: Millions have persistent cognitive issues after SARS-CoV-2 due to vascular injury...even young & healthy who had mild case.
"However, there are not yet effective laboratory tests or treatments for COVID-associated cognitive changes."